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How to spot pancreatic cancer

PANCREATIC CANCER happens when malignant or cancerous cells grow, divide, and spread in the pancreas. The pancreas is a six-inch-long, spongy, tube-shaped organ located in the back of the abdomen, behind the stomach. It has two major jobs in the...

PANCREATIC CANCER happens when malignant or cancerous cells grow, divide, and spread in the pancreas. The pancreas is a six-inch-long, spongy, tube-shaped organ located in the back of the abdomen, behind the stomach. It has two major jobs in the...

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Jamaicans urged to utilise mental health services to prevent suicides

JAMAICANS ARE being urged to make use of the mental health services in the public health system to reduce the risk of suicides. The call comes from Senior Clinical Psychologist at the Western Regional Health Authority, Dr Georgia Rose, as the...

JAMAICANS ARE being urged to make use of the mental health services in the public health system to reduce the risk of suicides. The call comes from Senior Clinical Psychologist at the Western Regional Health Authority, Dr Georgia Rose, as the...

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THE PROSTATE is below the bladder, surrounding the first part of a tube called the urethra. The urethra carries urine from the bladder to the penis; and the same tube also carries semen, which is the fluid containing sperm. Just behind the prostate...

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PROSTATE CANCER develops in a man’s prostate, the walnut-sized gland just below the bladder that produces some of the fluid in semen. It is the most common cancer in men after skin cancer. Prostate cancer often grows very slowly and may not cause...

PROSTATE CANCER develops in a man’s prostate, the walnut-sized gland just below the bladder that produces some of the fluid in semen. It is the most common cancer in men after skin cancer. Prostate cancer often grows very slowly and may not cause...

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Health | NOW Grenada

Nursing students answer call to serve 

The motivations for entering the nursing profession vary, but one common goal is clear: to improve Grenada’s healthcare system, which is plagued by a nurse shortage and ongoing criticism

View the full post Nursing students answer call to serve  on NOW Grenada.

The motivations for entering the nursing profession vary, but one common goal is clear: to improve Grenada’s healthcare system, which is plagued by a nurse shortage and ongoing criticism

View the full post Nursing students answer call to serve  on NOW Grenada.

7 months 1 week ago

Health, PRESS RELEASE, ambika Joseph, care-transition clinic school of nursing, curlan campbell, donnisa noel, jomanda jones, national council licensure examination, philip telesford

PAHO/WHO | Pan American Health Organization

PAHO publishes update on Oropouche fever in the Americas

PAHO publishes update on Oropouche fever in the Americas

Cristina Mitchell

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PAHO publishes update on Oropouche fever in the Americas

Cristina Mitchell

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7 months 1 week ago

STAT

STAT+: Pharmalittle: We’re reading about a Roivant deal, limited access to medicines and more

Top of the morning to you and a fine one it is. Blue skies, cool breezes and plenty of chirping birds are enveloping the comfy Pharmalot campus, which is cause to fire up the coffee kettle for yet another cup of stimulation. Our choice today is pecan pie — sweets for the sweet, you know. Meanwhile, we have assembled the latest menu of tidbits for you to peruse.

We hope you have a wonderful day and please do keep in touch. Once again, we will note that our settings have changed to accept postcards and telegrams…

The U.S. House of Representatives passed a bill by 306 to 81 votes to make drug companies stop doing business with some Chinese biotechs within eight years if they want to remain in good standing with the federal government, STAT reports. The BIOSECURE Act would prohibit the U.S. government from contracting with, or providing grants to, companies that do business with a “biotechnology company of concern.” It specifically names five Chinese companies: BGI Genomics, MGI Tech, Complete Genomics, WuXi AppTec, and Wuxi Biologics. The bill would likely need to hitch a ride with a larger legislative vehicle, such as the annual defense bill or government funding legislation, during the lame duck session between the elections and when newly elected officials take office.

Amid calls to expand access to medicines in low- and middle-income countries, a new analysis finds that most of the world’s 20 largest pharmaceutical companies have taken steps to reach patients, but many efforts are yielding decidedly mixed results, STAT tells us. On the one hand, 19 companies have established methods for providing treatments to these countries — but only nine of the drugmakers created comprehensive plans. Moreover, there is no consensus on how to calculate the number of patients being reached, so the approach taken varies widely among products and countries. In addition, most of the companies rely on sales volume to measure access goals, but this can be an imperfect benchmark because it does not ensure that medicines actually reached patients.

Continue to STAT+ to read the full story…

7 months 1 week ago

Pharmalot

Medical News, Health News Latest, Medical News Today - Medical Dialogues |

Medical Bulletin 10/ September/ 2024

Here are Top Medical News of the Day

Research Finds Consuming Fruit And Oats Increases Type 1 Diabetes Risk But Berries Offer Protection

Here are Top Medical News of the Day

Research Finds Consuming Fruit And Oats Increases Type 1 Diabetes Risk But Berries Offer Protection

New research presented at the annual meeting of the European Association for the Study of Diabetes (EASD) in Madrid, Spain, has found that eating fruit, oats and rye in childhood is associated with a higher risk of developing type 1 diabetes (T1D)(1). Eating berries, however, is linked to lower odds of developing the condition.

T1D is an autoimmune condition in which the immune system attacks and destroys the insulin-producing islet cells in the pancreas(2). This prevents the body from producing enough of the hormone insulin to properly regulate blood sugar levels.

T1D, the most common form of diabetes in children, is increasing worldwide. The number of cases worldwide is projected to double in just 20 years, from 8.4 million in 2021 to 17.4 million by 2040.

“Type 1 diabetes is a serious condition that requires lifelong treatment and so places a considerable burden on the patient and their family,”(3) says Professor Suvi Virtanen, of Finnish Institute for Health and Welfare, Helsinki, Finland, who led the research.

“It can lead to complications including eye, heart, nerve and kidney problems and shorten life expectancy and has substantial health care costs”.

“The rapid increase in type 1 diabetes in children suggests that environmental factors play an important role in the development of the disease. Identifying these factors will offer an opportunity to develop strategies to prevent it and its complications.”(3)

Numerous foodstuffs have been linked to islet autoimmunity – the attack on the insulin-producing cells – and T1D but there is a lack of high-quality evidence from prospective studies and the existence of a link remains controversial.

To address this, Professor Virtanen and colleagues explored whether diet in infancy and early childhood was associated with the development of T1D in thousands of children in Finland(4).

5,674 children (3,010 boys and 2,664 girls) with genetic susceptibility to T1D were followed from birth to the age of six. Food records completed by their parents repeatedly from the age of three months to 6 years provided information on the entire diet.

By the age of six, 94 of the children had developed type 1 diabetes. Another 206 developed islet autoimmunity and so were at substantially increased risk of developing T1D in the next few years(5).

The 34 food groups covered the entire diet and, when they were all factored in, several foods were associated with a higher risk of developing T1D.

The results show that the more fruit, oats or rye children ate, the more their risk of T1D increased.(6)

In contrast, eating strawberries, blueberries, lingonberries, raspberries, blackcurrants and other berries appeared to provide protection against T1D(7). The more berries a child ate, the less likely they were to develop T1D.

Reference: Virtanen, S. M., E. J. Peltonen, L. Hakola, S. Niinistö, H.-M. Takkinen, S. Ahonen, M. Akerlund, U. Uusitalo, M. Mattila, T. E. I. Salo, J. Ilonen, J. Toppari, R. Veijola, M. Knip, & J. Nevalainen. (2024, September 9). Food consumption associated with the risk of islet autoimmunity and type 1 diabetes. EASD Annual Meeting, Madrid, Spain.

Study Finds Patients Receiving Steroids Have 2 Times Higher Risk Of Diabetes

New research presented at the Annual Meeting of the European Association for the Study of Diabetes (EASD) in Madrid, Spain, has found that patients who are being treated with systemic glucocorticoids are more than twice as likely to develop diabetes as those not receiving the treatment.(8)

Glucocorticoids (sometimes known as steroids) fight inflammation and are used to treat a wide range of inflammatory and autoimmune conditions, including asthma, rheumatoid arthritis, cancers and other medical problems(9).

While they can be very effective in decreasing inflammation, glucocorticoids have many adverse effects including increasing blood sugar levels and causing diabetes. This is more likely when people use glucocorticoid tablets or injections than when used as inhalers, creams or drops.

A new study by researchers at the Diabetes Trials Unit, University of Oxford’s Radcliffe Department of Medicine, Oxford, UK, investigated how commonly patients being treated with glucocorticoids can develop new-onset diabetes(10). The study found that patients receiving systemic glucocorticoids were more than twice as likely (2.6 times) to develop diabetes as those not receiving the treatment.

Dr Rajna Golubic and colleagues compared the rate of new-onset diabetes in hospital patients who received systemic glucocorticoids (tablets, injections or infusions) to patients not treated with these drugs.

The study involved 451,606 adults (median age 52 years, 55% female, 69% White) who were admitted to the Oxford University Hospitals NHS Foundation Trust between 1 January 2013 and 1 October 2023.(11) All were free from diabetes at the start of the study and none were taking systemic glucocorticoids.

17,258 (3.8%) of the patients were treated with systemic glucocorticoids (some names include prednisolone, hydrocortisone, dexamethasone) while in hospital, most commonly for autoimmune and inflammatory diseases and for infections.

316 of these 17,258 patients (1.8%) developed diabetes while in hospital(12). This compares with 3,430 of the 434,348 patients (0.8%) who didn’t receive systemic glucocorticoids. Patients were typically admitted for less than a week.

Further analysis showed that, when age and sex were factored in, patients receiving systemic glucocorticoids were more than twice as likely (2.6 times) to develop diabetes as those not receiving the treatment.

Dr Golubic says: “These latest results give clinical staff a better estimate of how likely new diabetes is to occur and could prompt doctors to plan clinical care more effectively to detect and manage new diabetes.

“While we studied hospital patients, glucocorticoid tablets can be prescribed by GPs for conditions such as asthma and rheumatoid arthritis and it is important that they, too, are aware of the link.”(13)

Reference: Abstract presented at the Annual Meeting of the European Association for the Study of Diabetes (EASD) in Madrid, Spain.

Are You A Night Owl? You May Be Face 50% More Likelihood of Developing Diabetes: EASD 2024

Night owls have a higher BMI, larger waists, more hidden body fat and are almost 50% more likely to develop type 2 diabetes (T2D) than those who go to bed earlier(14), new research presented at the Annual Meeting of the European Association for the Study of Diabetes (EASD) in Madrid, Spain, has found.

Lead researcher Dr Jeroen van der Velde, of Leiden University Medical Centre, Leiden, Netherlands, says: “Previous studies have indicated that a late chronotype – preferring to go to bed late and wake up later – is associated with an unhealthy lifestyle. Late chronotypes are more likely to smoke or have an unhealthy diet, for example, and it has been suggested this is why they are higher risk of obesity and metabolic disorders including type 2 diabetes.

“However, we believe that lifestyle cannot fully explain the relationship between a late chronotype and metabolic disorders. In addition, while it is known that a late chronotype is associated with high BMI, it isn’t clear to what extent chronotype affects body fat distribution.”(15)

To find out more, Dr van der Velde and colleagues studied the association between sleep timing, T2D and body fat distribution(16) in more than 5,000 individuals, as part of the Netherlands Epidemiology of Obesity study, an ongoing study into the influence of body fat on disease.

The analysis involved participants (54% female) with a mean age of 56 years and mean BMI of 30 kg/m2.

Participants filled in a questionnaire their typical bed and waking times and from this midpoint of sleep (MPS)(17) was calculated.

The participants were then divided into three groups: early chronotype (the 20% of participants with the earliest MPS), late chronotype (the 20% of participants with the latest MPS) and intermediate chronotype (the remaining 60% of participants).

BMI and waist circumference were measured in all participants(18). Visceral fat and liver fat were measured in 1,526 participants, using MRI scans and MR spectroscopy, respectively.

The participants were followed-up for a median of 6.6 years, during which 225 were diagnosed with T2D.

The results, which were adjusted for age, sex, education, total body fat and a range of lifestyle factors (physical activity, diet quality, alcohol intake, smoking and sleep quality and duration), showed that compared with an intermediate chronotype, participants with a late chronotype had a 46% higher risk of T2D.(19)

This suggests that the increased risk of T2D in late chronotypes can’t be explained by lifestyle alone.

“We believe that other mechanisms are also at play,” says Dr van der Velde. “A likely explanation is that the circadian rhythm or body clock in late chronotypes is out of sync with the work and social schedules followed by society. This can lead to circadian misalignment, which we know can lead to metabolic disturbances and ultimately type 2 diabetes.”(15)

Reference: van der Velde, J. H. P., Rutters, F., Rosendaal, F. R., Lamb, H. J., Kalsbeek, A., & de Mutsert, R. (2024). Associations between chronotype, waist circumference, visceral fat, liver fat, and incidence of type 2 diabetes. Abstract presented at the Annual Meeting of the European Association for the Study of Diabetes (EASD), Madrid, Spain.

ERS Conference Highlights: ChatGPT Surpassed Trainee Doctors in Assessing Complex Respiratory Illness In Children

The chatbot ChatGPT performed better than trainee doctors in assessing complex cases of respiratory disease in areas such as cystic fibrosis, asthma and chest infections in a study presented at the European Respiratory Society (ERS) Congress in Vienna, Austria.(20)

The study also showed that Google’s chatbot Bard performed better than trainees in some aspects and Microsoft’s Bing chatbot performed as well as trainees.

The research suggests that these large language models (LLMs) could be used to support trainee doctors, nurses and general practitioners(21) to triage patients more quickly and ease pressure on health services.

The study was presented by Dr Manjith Narayanan, a consultant in paediatric pulmonology at the Royal Hospital for Children and Young People, Edinburgh and honorary senior clinical lecturer at the University of Edinburgh, UK. He said: “Large language models, like ChatGPT, have come into prominence in the last year and a half with their ability to seemingly understand natural language and provide responses that can adequately simulate a human-like conversation. These tools have several potential applications in medicine. My motivation to carry out this research was to assess how well LLMs are able to assist clinicians in real life.”(22)

To investigate this, Dr Narayanan used clinical scenarios that occur frequently in paediatric respiratory medicine. (23)The scenarios were provided by six other experts in paediatric respiratory medicine and covered topics like cystic fibrosis, asthma, sleep disordered breathing, breathlessness and chest infections. They were all scenarios where there is no obvious diagnosis, and where there is no published evidence, guidelines or expert consensus that point to a specific diagnosis or plan.

Ten trainee doctors who had less than four months of clinical experience in paediatrics were given an hour where they could use the internet, but not any chatbots, to solve each scenario with a descriptive answer of 200 to 400 words(24). Each scenario was also presented to the three chatbots.

All the responses were scored by six paediatric respiratory experts for correctness, comprehensiveness, usefulness, plausibility, and coherence. They were also asked to say whether they thought each response was human- or chatbot-generated and to give each response an overall score out of nine.

Solutions provided by ChatGPT version 3.5 scored an average of seven out of nine overall and were believed to be more human-like than responses from the other chatbots(25). Bard scored an average of six out of nine and was scored as more ‘coherent’ than trainee doctors, but in other respects was no better or worse than trainee doctors. Bing scored an average of four out of nine – the same as trainee doctors overall. Experts reliably identified Bing and Bard responses as non-human.

Dr Narayanan said: “Our study is the first, to our knowledge, to test LLMs against trainee doctors in situations that reflect real-life clinical practice. We did this by allowing the trainee doctors to have full access to resources available on the internet, as they would in real life. This moves the focus away from testing memory, where there is a clear advantage for LLMs. Therefore, this study shows us another way we could be using LLMs and how close we are to regular day-to-day clinical application.

“We have not directly tested how LLMs would work in patient facing roles. However, it could be used by triage nurses, trainee doctors and primary care physicians, who are often the first to review a patient.”(22)

Reference: "Clinical scenarios in paediatric pulmonology: Can large language models fare better than trainee doctors?", by Manjith Narayanan et al; Presented in session, "Respiratory care in the digital age: innovative applications and their evidence" at 09:30-10:45 CEST on Monday 9 September 2024.

Study Finds Obesity A Key Risk Factor For COVID-19 Infection

A new study by investigators from Mass General Brigham has found that obesity may be an important risk factor for infection from the virus that causes COVID-19. Researchers analyzed electronic health record data from Mass General Brigham and found that individuals with obesity were 34% more likely to become COVID positive after reported exposure than individuals without obesity.

Their findings, published in PNAS Nexus, indicate that obesity, a well-known risk factor for more severe symptoms and complications from the virus, may also increase risk of infection.(23)

"We knew that obesity raises risk for severe COVID-19 outcomes, but we were surprised to find that it also increases the likelihood of catching the virus in the first place," said corresponding author Masanori Aikawa, MD, PhD, director of the Center for Interdisciplinary Cardiovascular Sciences (CICS) at Brigham and Women's Hospital. "This suggests that obesity may play a more significant role in COVID-19 transmission than previously thought. Our results add to the growing body of evidence that maintaining a healthy weight is crucial for overall health."(24)

Led by first author Joan T. Matamalas, PhD, a research scientist in the CICS, the researchers conducted a case-control study evaluating data in the Mass General Brigham COVID-19 Data Mart(25), which included COVID-19 results for 687,813 subjects tested for COVID-19 from March 2020 to March 2022 -- a period of rampant infection before vaccines were widely available.

The team examined data from more than 72,000 participants who had reported contact with or suspected exposure to COVID-19.

The authors note that the study relied on self-reported information about potential exposure to the virus, which may not accurately reflect actual exposure, and was conducted in a single health system in Massachusetts(26), so the results may not be generalizable to other populations.

Future studies could examine the biological mechanisms that may explain why individuals with obesity may be more susceptible and could help to identify new drug targets or more personalized vaccination approaches to help protect against infection and complications.

"Although our study was conducted on pre-vaccine data, numerous studies have shown that vaccines are the most effective and safe way to prevent COVID-19 infection and severe outcomes, regardless of weight or other risk factors," said Aikawa(25)

Reference: Joan T Matamalas, Sarvesh Chelvanambi, Julius L Decano, Raony F França, Arda Halu, Diego V Santinelli-Pestana, Elena Aikawa, Rajeev Malhotra, Masanori Aikawa. Obesity and age are transmission risk factors for SARS-CoV-2 infection among exposed individuals. PNAS Nexus, 2024; 3 (8) DOI: 10.1093/pnasnexus/pgae294

7 months 1 week ago

MDTV,Channels - Medical Dialogues,Medical News Today MDTV,Medical News Today

KFF Health News

Silence in Sikeston: Racism Can Make You Sick

SIKESTON, Mo. — In 1942, Mable Cook was a teenager. She was standing on her front porch when she witnessed the lynching of Cleo Wright.

In the aftermath, Cook received advice from her father that was intended to keep her safe.

“He didn’t want us talking about it,” Cook said. “He told us to forget it.”

SIKESTON, Mo. — In 1942, Mable Cook was a teenager. She was standing on her front porch when she witnessed the lynching of Cleo Wright.

In the aftermath, Cook received advice from her father that was intended to keep her safe.

“He didn’t want us talking about it,” Cook said. “He told us to forget it.”

More than 80 years later, residents of Sikeston still find it difficult to talk about the lynching.

Conversations with Cook, one of the few remaining witnesses of the lynching, launch a discussion of the health consequences of racism and violence in the United States. Host Cara Anthony speaks with historian Eddie R. Cole and racial equity scholar Keisha Bentley-Edwards about the physical, mental, and emotional burdens on Sikeston residents and Black Americans in general.

“Oftentimes, people who experience racial trauma are forced to not acknowledge it,” Bentley-Edwards said. “They’re forced to question whether or not it happened in the first place.”

Host

Cara Anthony
Midwest correspondent, KFF Health News


@CaraRAnthony


Read Cara's stories

Cara is an Edward R. Murrow and National Association of Black Journalists award-winning reporter from East St. Louis, Illinois. Her work has appeared in The New York Times, Time magazine, NPR, and other outlets nationwide. Her reporting trip to the Missouri Bootheel in August 2020 launched the “Silence in Sikeston” project. She is a producer on the documentary and the podcast’s host.

In Conversation With …

Eddie R. Cole
Professor of education and history, UCLA

Keisha Bentley-Edwards
Associate professor of medicine, Division of General Internal Medicine at Duke University

Carol Anderson
Professor of African American studies, Emory University

click to open the transcript

Transcript: Racism Can Make You Sick

“Silence in Sikeston,” Episode 1: “Racism Can Make You Sick” Transcript 

Editor’s note: If you are able, we encourage you to listen to the audio of “Silence in Sikeston,” which includes emotion and emphasis not found in the transcript. This transcript, generated using transcription software, has been edited for style and clarity. Please use the transcript as a tool but check the corresponding audio before quoting the podcast. 

Cara Anthony: Sikeston sits in the Missouri Bootheel. That’s the lower corner of the state, with the Mississippi River on one side, Arkansas on the other. Lots of people say it’s where the South meets the Midwest. 

Picture cotton, soybeans, rice. It’s hot, green, and flat. If you’ve ever heard of Sikeston before, it’s probably because of this: 

Ryan Skinner: Hot rolls! 

Cara Anthony: Lambert’s Café. Home of the “Throwed Rolls.” 

Server: Yeah, they’ll say, uh, “Hot rolls!” And people will hold their hands up and they’ll toss it to you. 

Cara Anthony: The servers walk around with carts and throw these big dinner rolls at diners. 

Ryan Skinner: Oh, it’s fun. You get to nail people in the head and not get in trouble for it. 

Cara Anthony: There’s the rodeo. The cotton carnival. 

But I came to see Rhonda Council. 

Rhonda Council: My name is Rhonda Council. I was born and raised here in Sikeston. 

Cara Anthony: Rhonda is the town’s first Black city clerk. 

She became my guide. I met her when I came here to make a film about the little-known history of racial violence in Sikeston. 

I’m Cara Anthony. I’m a health reporter. I cover the ways racism — including violence — affects health. 

Rhonda grew up in the shadow of that violence — in a part of town where nearly everyone was Black. It’s called Sunset. 

Rhonda Council: Sunset was a happy place. I remember just being, as a kid, we could walk down to the store, we could just go get candy. 

Cara Anthony: There were churches and a school there. 

Rhonda Council: We knew everybody in the community. If we did something wrong, you can best believe your parents was going to find out about it before you got home. 

Cara Anthony: Back in the day, these were dirt roads. 

Cara Anthony: OK, so we’re getting ready to go on a tour of Sunset, which used to be known as the Sunset Addition, right? 

Rhonda Council: Mm-hmm, yes. Mm-hmm. 

Cara Anthony: We got into her car, along with Rhonda’s mother and her grandmother, Mable Cook. 

Rhonda Council: This street was known as The Bottom. Everything Black-owned. They had clubs, they had stores, they even had houses that people stayed in. I think it was shotgun houses back then? 

Mable Cook: Uh-huh. 

Cara Anthony: That’s Rhonda’s grandmother, Ms. Mable, right there. She was a teenager here in the 1940s. Her memory of the place seems to get stronger with each uh-huh and mm-hmm. 

Rhonda Council: And this was just the place where people went on the weekend to, you know, have a good time and party. … And this area was kind of known as “the corner” because they used to have a club here. And they would … they would gamble a lot down here. They would throw dice. Everything down here on the corner. 

Mable Cook: That’s right. Sure did. Mm-hmm. 

Rhonda Council: You remember this street, Grandma? 

Mable Cook: Yeah, I’m trying to see where the store used to be. 

Rhonda Council: OK. 

Mable Cook: I think it was close to Smith Chapel. 

Rhonda Council: OK. 

Cara Anthony: Rhonda’s grandmother, Ms. Mable, was 97 then. 

Rhonda Council: She is a petite lady, to me, thin-framed. I describe her eyes as like a grayish-color eyes. And I don’t know if it’s because of old age, but I think they’re so beautiful. And she just has a pretty smile, and she’s just a fantastic lady. 

Cara Anthony: Ms. Mable was born in Indianola, Mississippi. When she was 14, her father moved to Sikeston looking for work. 

Rhonda Council: And so she came up here to, um, to be with her father. But she said when she came to Sikeston, she said it was an unusual experience because they were not allowed to go to stores. They were not allowed to, basically, be with the white people. And that’s not what she knew down in Mississippi. And in her mind, she couldn’t understand why Missouri, why Sikeston was like that in treating Black people that way. 

And not too long after that, the lynching of Cleo Wright occurred. 

[BEAT]  

Cara Anthony: It was 1942. While the United States was at war marching to stop fascism, a white mob here went unchecked and lynched a man named Cleo Wright. 

The lynching of a Black man in America was not uncommon. And often barely documented. 

But in the case of Cleo Wright — perhaps because the death challenged what the nation said it was fighting for — the killing in this small town made national news. 

The case generated enough attention that the FBI conducted the first federal investigation into a lynching. That investigation ultimately amounted to nothing. 

Meanwhile — here in Sikeston — the response to the brutal death was mostly silence. 

Eight decades later, another Black man was killed in Sikeston. This time by police. 

Local media outlets, like KFVS, covered it as a crime story: 

KFVS report: The Missouri State Highway Patrol says troopers must piece together exactly what led to the shooting death of 22-year-old Denzel Marshall Taylor. 

Cara Anthony: I think the killings of Denzel Taylor and Cleo Wright are a public health story. 

Our film “Silence in Sikeston” is grounded in my reporting about Cleo and Denzel. Part of the record of the community’s trauma and silence is captured in the film. This podcast extends that conversation. 

We’re exploring what it means to live with that stress — of racism, of violence. And we’re going to talk about the toll that it takes on our health as Black Americans, especially as we try to stay safe. 

In each episode, we’ll hear a story from my reporting. Then, a guest and I will talk about it. 

The history … 

Carol Anderson: The power of lynching is to terrorize the Black community, and one of the ways the community deals with that terror is the silence of it. […] And when you don’t deal with the wound, it creates all kinds of damage. 

Cara Anthony: And health … 

Aiesha Lee: It’s almost like every time we’re silent, it’s like a little pinprick. […] And after so long, those little pinpricks turn up as heart disease, as cancer, as all these other ailments. 

Cara Anthony: I’m hoping this journalism, and these stories, will spark a conversation that you’ve been meaning to have. 

This is an invitation. 

From WORLD Channel and KFF Health News and distributed by PRX, this is “Silence in Sikeston,” the podcast.  

Episode 1: “Racism Can Make You Sick” 

[BEAT] 

Cara Anthony: Ms. Mable was a witness to the lynching of Cleo Wright. The 25-year-old was about to become a father. 

Rhonda’s uncle says Cleo was … 

Harry Howard: Young, handsome, an athlete, and very well known in the community. 

Cara Anthony: That’s Harry Howard. He didn’t know Cleo. Harry wasn’t even born yet. But his uncle knew Cleo. 

Harry Howard: They were friends. They would shoot pool together and were known to be at the little corner store, the Scott’s Grocery. 

Cara Anthony: Harry’s family passed down the story of what happened. 

Harry Howard: So everything I’m reporting is the way it was told by people I trust. 

Cara Anthony: Black families mostly talked about it in whispers. 

Eddie R. Cole: And that sounds like this is one of those situations where that community would rather just leave this alone and try to move on with the life that you do have instead of losing more life. 

Cara Anthony: That’s my friend Eddie Cole. He’s a professor of history and education at UCLA. 

We were in college together at Tennessee State and worked on the school newspaper.  

I called up Eddie because I wanted to get his take as a historian. What happens when we keep quiet about a story like Cleo’s? 

Eddie R. Cole: Yeah, I’m Eddie Cole. … So here we go. 

Cara Anthony: Thousands of Black people were lynched before Cleo Wright was. But this was the first time the feds said, “Hey, we should go to Sikeston and investigate lynching as a federal crime.” 

This story though, seriously, like it just disappeared off the face of the map. Like, it’s, it’s scary to me. So many of the witnesses that I interviewed, they’ve passed away, Eddie, since we started this journey. And it’s frightening to me to think that their stories … that these stories can literally just go away. 

[BEAT]  

Eddie R. Cole: Lynching stories disappear but don’t disappear, right? So, the people who committed the crime, they committed it and went on with their day, which is twisted within itself, even to think about that. 

But on the other side, when you think about Black Americans, there was no need to talk a lot about it, right? Because you talk too much about some things and that same sort of militia justice might come to your front door in the middle of the night, right? Stories like this are known but not recorded. 

Cara Anthony: The hush that surrounded Cleo’s story back then was for Black people’s safety. But I’m conflicted. Should Cleo’s story be off the table? Or … could we be missing an opportunity for healing? 

On the phone with Eddie, I could feel this anxiety building up in me. I was almost afraid to bring it up, even though it was the reason why I called. 

[BEAT]  

Cara Anthony: And I will be honest with you, I think of you the same way I think of my brother, my father, like, I’ve almost wanted to protect the Black men in my life from that story because I know how hard it is to hear. 

Cara Anthony: It was January 1942. Cleo was accused of assaulting a white woman. A police officer arrested him; there was a fight. Cleo was beaten and shot. Covered in blood, he was eventually taken to jail. White residents of Sikeston mobbed the jail to get to Cleo. 

Cara Anthony: I do want to play a clip for you, just so you can hear a little bit, if you are up for that, because it’s a lot. How are you feeling about that today? 

Eddie R. Cole: No, I want to hear. I mean, I gotta know more now. You just told me there’s a story that just disappeared, but now you’re bringing it back to life. So let’s play the clip. 

Cara Anthony: All right. Let’s do it. 

Harry Howard: They took him out of the jail and drug him from downtown on Center Street through the Black area of Sunset. 

Obviously, it was a big commotion, and they were saying, “What’s going on?” And the man driving the station wagon told them, “Get out of the street,” and, of course, used the N-word. “There’s a lynching coming.” 

Cara Anthony: Historian Carol Anderson is a professor of African American studies at Emory University. She takes it from there. 

Carol Anderson: They hook him to the bumper of the car and decide to make an example of him in the Black community. 

The mob douses his body with five gallons of gasoline and set it on fire. People are going, “Oh my God, they are burning a Black man. They are burning a Black man. They have lynched a Black man.” 

Cara Anthony: I always need to take a deep breath after hearing that story. So, I check in with Eddie. 

Cara Anthony: OK. How you doing? You OK? 

Eddie R. Cole: Yeah, yeah, um, that was tough. 

Cara Anthony: I’ve grappled a lot with the question of why, like, why now? Why this story? Am I crazy for doing this? 

Eddie R. Cole: Yeah, I mean, this story is really an entry point to talk about society at large. Imagine the people who like the world that we’re in. A world where Black people are oppressed. Right? And so not telling stories like what happens in Sikeston is an easier way to just keep the status quo. And what you’re doing is pushing back on it and saying, ah, we must remember, because the remnants of this period still shape this town today. 

[BEAT]  

Cara Anthony: On the tour of Sikeston with Rhonda, I see that. 

Rhonda Council: We’re going to go in front of the church where Cleo Wright was burned. 

When we get down here to the right, you’ll see Smith Chapel Church. And wasn’t it over here in this way where he got burnt, Grandma? 

Mable Cook: Uh-huh, yep. 

Rhonda Council: OK. From what I hear, it happened right along in this area right here. 

Cara Anthony: It’s a small brick church with a steeple on top. The road is paved now, not gravel as before. It all looks so … normal. 

You’d think that kind of violence, so much hate, would leave a mark on the Earth. But on the day we visited, there was nothing to see. Just the church and the road. 

Ms. Mable is quiet. I wonder what she’s thinking. 

Mable Cook: I just remember them dragging him. They drove him from, uh, the police station out to Sunset Addition. But they took him around all the streets so everybody could see. 

Cara Anthony: Back at Rhonda’s home, we talked more about what Ms. Mable remembered. 

Rhonda Council: Did that affect you in any way when you saw that happening? 

Mable Cook: Yeah, it hurt because I never had seen anything like that. Mm-hmm. And it kind of got me. I was just surprised or something. I don’t know. Mm-hmm. 

Cara Anthony: Remember Ms. Mable had been a child in Mississippi in the ’30s — and it wasn’t until she moved north to Sikeston that she came face to face with a lynching. 

Rhonda Council: Did it stick in your mind after that for a long time? 

Mable Cook: Yeah, it did. It did stick because I just wondered why they wanted to do that to him. You know, they could have just taken him and put him in jail or something and not do all that to him. 

I just never had seen anything like it. I had heard people talking about it, but I had never seen anything like that. 

Cara Anthony: When it happened, a lot of Black families in Sikeston scattered, fled town to places that felt safer. Mable’s family returned to Mississippi for a week. 

But when they got back, she says, Sikeston went on like nothing had ever happened.  

Here’s Rhonda with Ms. Mable again. 

Rhonda Council: After you all saw the lynching that happened, did you and your friends talk about that? 

Mable Cook: No, we didn’t have none … we didn’t talk about it. My daddy told us not to have nothing be said about it, uh-uh. 

Rhonda Council: Oh, because your dad said that. 

Mable Cook: That’s right. He told us not to worry about it, not talk about it. Uh-huh. And he said it’ll go away if you not talk about it, you know, uh-huh. 

Rhonda Council: So over the years, did you ever want to get it out? Did you ever want to talk about it? 

Mable Cook: Yeah, I did want to. Uh-huh. I wanted to. Uh-huh. 

Rhonda Council: But you just couldn’t do it. 

Mable Cook: No. No. Uh-uh. No, he didn’t want us talking about it. He told us to forget it. 

Cara Anthony: Forget it. Don’t talk about it. It’ll go away. 

And, in a way, it did. 

No one was charged. No one went to prison. Cleo’s name faded from the news. 

[BEAT]   

Cara Anthony: But decades later, Ms. Mable, the witness; Rhonda, her granddaughter; and me, the journalist, we talked about it a lot. 

We turned the story over and over, and as I listened to Ms. Mable, there was a distance between the almost matter-of-fact way she described the lynching and what I expected her feelings would be. 

I asked her if she was ever depressed … or if she had sleepless nights, anxiety. As a health reporter, I was on the lookout for symptoms of post-traumatic stress disorder. 

But Ms. Mable said no. 

That surprised me. And Rhonda, too. 

Cara Anthony: If we were to roll back the clock, go in a time machine, it’s 1942. All of a sudden, you see Cleo Wright’s body on the back of a car. How do you, can you even imagine that? 

Rhonda Council: I could not imagine. And even when talking to her about it, and she had such a vivid memory of it. And you ask her, did it haunt her, and she said no, she, it didn’t bother her, but I know deep down inside it had to because there’s no way that you could see something like that — someone dragged through the streets, basically naked going over rocks and the body just being dragged. 

I, I don’t know how I could have handled it because that’s just very, you just can’t treat a human being like that. 

Cara Anthony: That’s what’s so hard about these stories. And the research shows that seeing that kind of brutal, racial violence has health effects. But how do we recognize them? And what happens if we don’t? 

Those are some of the questions I asked Keisha Bentley-Edwards. 

Keisha Bentley-Edwards: Oftentimes, people who experience racial trauma are forced to not acknowledge it as such, or they’re forced to question whether or not it happened in the first place. 

Cara Anthony: Keisha is an associate professor in medicine at Duke University. She studies structural racism and chronic health conditions and knows a lot about what happens after a lynching. 

Keisha Bentley-Edwards: It’s difficult to talk about racism. And part of it is that you’re talking about power, who has it, who doesn’t have it. 

It’s not fun to talk about constantly being in a state where someone else can control your life with little recourse. 

Cara Anthony: That’s even more complicated in a place like Sikeston. 

Keisha Bentley-Edwards: When you’re in a smaller city, there is no way to turn away from the people who were the perpetrators of a race-based crime. And that, in and of itself, is a trauma. To know that someone has victimized your family member and you still have to say hello, you still have to say, “Good morning, ma’am.” And you have to just swallow your trauma in order to make the person who committed that trauma comfortable so that you don’t put your own family members at risk. 

Cara Anthony: Keisha says part of the stress comes from being Black and always being aware — alert — that the everyday ways you move through the world can be perceived as a threat to other people. 

Keisha Bentley-Edwards: Your life as a Black person is precarious. And I think that is what’s so hard about lynchings and these types of racist incidents is that so much of it is about, “I turned left when I could have turned right.” 

You know, “If I had just turned right or if I had stayed at home for another 10 minutes, this wouldn’t have happened.” 

Cara Anthony: That’s as true today as it was when Cleo Wright was alive. 

Keisha Bentley-Edwards: So, you don’t have to know the history of lynching to be affected by it. And so if you want to dismantle the legacy of the histories, you actually have to know it. So that you can address it and actually have some type of reconciliation and to move forward. 

Cara Anthony: I don’t know how you move on from something like the lynching of Cleo Wright. But breaking the silence is a step. 

And at 97, Ms. Mable did just that. 

She spoke to me. She trusted me enough to talk about it. Afterward, she said she felt lighter. 

Mable Cook: That’s right. Mm-hmm. So, it makes me feel much better after getting it out. 

[BEAT]  

Cara Anthony: A couple of years after we took the tour of Sikeston together, Ms. Mable died. 

When they lowered her casket into the ground, Ms. Mable’s family played a hymn she loved. 

It was a song she had sung for me … the day she invited me to visit her church. We sat in the pews. It was the middle of the week, but she was in her Sunday best. 

As we talked about Cleo Wright and Ms. Mable’s life in Sikeston, she told me she came back to that hymn over and over. 

Mable Cook: “Glory, Glory.” That’s what it was. [SINGING] Glory, glory, hallelujah. Since I laid my burden down. Glory, glory, hallelujah. Since I laid my burdens down […] 

Cara Anthony: I grew up singing that song. But before that moment, it was just another hymn in church. When Ms. Mable sang, it became something else. It sounded more like … an anthem. A call to acknowledge what we’ve been carrying with us in our bodies and minds. And to know it’s possible to talk about it … and maybe feel lighter. 

Mable Cook: [SINGING] … Every route go high and higher since I laid my burden down. Every route go high and higher since I laid my burden down […] 

Cara Anthony: Racism is heavy and it’s making Black people sick. Hives, high blood pressure, heart disease, inflammation, and struggles with mental health. 

To lay those burdens down, we have to name them first. 

That’s what I want this series to be: a podcast about finding the words to say the things that go unsaid. 

Across four episodes, we’re exploring the silence around violence and racism. And, maybe, we’ll get some redemption, too. 

I’m glad you’re here. There’s a lot more to talk about. 

Next time on “Silence in Sikeston,” the podcast … 

Meet my Aunt B and hear about our family’s hidden history. 

Cara Anthony: I told you what the three R’s of history are, right? 

Aunt B: No, tell me. 

Cara Anthony: So the three R’s of history are, you have to recognize something in order to repair it, in order to have days of redemption. So, Recognize, Repair, Redeem. And that’s what we’re doing. 

Aunt B: Man, how deep is that? 

Cara Anthony: That’s what we’re doing. 

Aunt B: Wow. 

CREDITS 

Cara Anthony: Thanks for listening to “Silence in Sikeston.” 

Next, go watch the documentary — it’s a joint production from Retro Report and KFF Health News, presented in partnership with WORLD. 

Subscribe to WORLD Channel on YouTube. That’s where you can find the film “Silence in Sikeston,” a Local, USA special. 

This podcast is a co-production of WORLD Channel and KFF Health News and distributed by PRX. 

It was produced with support from PRX and made possible in part by a grant from the John S. and James L. Knight Foundation. 

The audio series was reported and hosted by me, Cara Anthony. 

Zach Dyer and Taylor Cook are the producers. 

Editing by Simone Popperl. 

Taunya English is managing editor of the podcast. 

Sound design, mixing, and original music by Lonnie Ro. 

Podcast art design by Colin Mahoney and Tania Castro-Daunais. 

Oona Zenda was the lead on the landing page design. 

Julio Ricardo Varela consulted on the script. 

Sending a shoutout to my vocal coach, Viki Merrick, for helping me tap into my voice. 

Music in this episode is from BlueDot Sessions and Epidemic Sound. 

Additional audio from KFVS News in Sikeston, Missouri. 

Some of the audio you’ll hear across the podcast is also in the film. 

For that, special thanks to Adam Zletz, Matt Gettemeier, Roger Herr, and Philip Geyelin, who worked with us and colleagues from Retro Report. 

Kyra Darnton is executive producer at Retro Report. 

I was a producer on the film. 

Jill Rosenbaum directed the documentary. 

Kytja Weir is national editor at KFF Health News. 

WORLD Channel’s editor-in-chief and executive producer is Chris Hastings. 

If “Silence in Sikeston” has been meaningful to you, help us get the word out! 

Write a review or give us a quick rating on Apple, Spotify, Amazon Music, iHeart, or wherever you listen to this podcast. It shows the powers that be that this is the kind of journalism you want. 

Thank you. It makes a difference. 

Oh yeah … and tell your friends in real life, too! 

Credits

Taunya English
Managing editor


@TaunyaEnglish

Taunya is deputy managing editor for broadcast at KFF Health News, where she leads enterprise audio projects.

Simone Popperl
Line editor


@simoneppprl

Simone is broadcast editor at KFF Health News, where she shapes and edits stories that air on Marketplace and NPR, manages a reporting collaborative with local NPR member stations across the country, and edits the KFF Health News Minute.

Zach Dyer
Senior producer


@zkdyer

Zach is senior producer for audio with KFF Health News, where he supervises all levels of podcast production.

Taylor Cook
Associate producer


@taylormcook7

Taylor is an independent producer who does research, books guests, contributes writing, and fact-checks episodes for several KFF Health News podcasts.

Additional Newsroom Support

Lynne Shallcross, photo editorOona Zenda, illustrator and web producerLydia Zuraw, web producerTarena Lofton, audience engagement producer Hannah Norman, visual producer and visual reporter Chaseedaw Giles, audience engagement editor and digital strategistKytja Weir, national editor Mary Agnes Carey, managing editor Alex Wayne, executive editorDavid Rousseau, publisher Terry Byrne, copy chief Gabe Brison-Trezise, deputy copy chief Tammie Smith, communications officer 

The “Silence in Sikeston” podcast is a production of KFF Health News and WORLD. Distributed by PRX. Subscribe and listen on Apple Podcasts, Spotify, Amazon Music, iHeart, or wherever you get your podcasts.

Watch the accompanying documentary from WORLD, Retro Report, and KFF starting Sept. 16, here.

To hear other KFF Health News podcasts, click here.

KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.

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7 months 1 week ago

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The Medical News

Study reveals population-wide immune setpoint for SARS-CoV-2 antibodies

Researchers discovered that SARS-CoV-2 antibody levels in the Dominican Republic converge to a population-wide immune setpoint, regardless of individual vaccination or infection history.

Researchers discovered that SARS-CoV-2 antibody levels in the Dominican Republic converge to a population-wide immune setpoint, regardless of individual vaccination or infection history.

7 months 1 week ago

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ERS Conference Highlights: ChatGPT Surpassed Trainee Doctors in Assessing Complex Respiratory Illness In Children

The chatbot ChatGPT performed better than trainee doctors in assessing complex cases of respiratory disease in areas such as cystic fibrosis, asthma, and chest infections in a study presented at the European Respiratory Society (ERS) Congress in Vienna, Austria.

The study also showed that Google’s chatbot Bard performed better than trainees in some aspects and Microsoft’s Bing chatbot performed as well as trainees. 

The research suggests that these large language models (LLMs) could be used to support trainee doctors, nurses, and general practitioners to triage patients more quickly and ease pressure on health services.

The study was presented by Dr Manjith Narayanan, a consultant in paediatric pulmonology at the Royal Hospital for Children and Young People, Edinburgh and honorary senior clinical lecturer at the University of Edinburgh, UK. He said: “Large language models, like ChatGPT, have come into prominence in the last year and a half with their ability to seemingly understand natural language and provide responses that can adequately simulate a human-like conversation. These tools have several potential applications in medicine. My motivation to carry out this research was to assess how well LLMs are able to assist clinicians in real life.”

To investigate this, Dr Narayanan used clinical scenarios that occur frequently in paediatric respiratory medicine. (23)The scenarios were provided by six other experts in paediatric respiratory medicine and covered topics like cystic fibrosis, asthma, sleep disordered breathing, breathlessness and chest infections. They were all scenarios where there is no obvious diagnosis, and where there is no published evidence, guidelines or expert consensus that point to a specific diagnosis or plan.

Ten trainee doctors who had less than four months of clinical experience in paediatrics were given an hour where they could use the internet, but not any chatbots, to solve each scenario with a descriptive answer of 200 to 400 words. Each scenario was also presented to the three chatbots.

 All the responses were scored by six paediatric respiratory experts for correctness, comprehensiveness, usefulness, plausibility, and coherence. They were also asked to say whether they thought each response was human- or chatbot-generated and to give each response an overall score out of nine. 

Solutions provided by ChatGPT version 3.5 scored an average of seven out of nine overall and were believed to be more human-like than responses from the other chatbots(25). Bard scored an average of six out of nine and was scored as more ‘coherent’ than trainee doctors, but in other respects was no better or worse than trainee doctors. Bing scored an average of four out of nine – the same as trainee doctors overall. Experts reliably identified Bing and Bard responses as non-human.

Dr Narayanan said: “Our study is the first, to our knowledge, to test LLMs against trainee doctors in situations that reflect real-life clinical practice. We did this by allowing the trainee doctors to have full access to resources available on the internet, as they would in real life.

This moves the focus away from testing memory, where there is a clear advantage for LLMs. Therefore, this study shows us another way we could be using LLMs and how close we are to regular day-to-day clinical application.

“We have not directly tested how LLMs would work in patient facing roles. However, it could be used by triage nurses, trainee doctors and primary care physicians, who are often the first to review a patient.”

Reference: "Clinical scenarios in paediatric pulmonology: Can large language models fare better than trainee doctors?", by Manjith Narayanan et al; Presented in session, "Respiratory care in the digital age: innovative applications and their evidence" at 09:30-10:45 CEST on Monday 9 September 2024.

7 months 1 week ago

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